Evaluation of N1539 Following Major Surgery
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Evaluation of the Safety of N1539 Following Major Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Queensland
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Chermside, Queensland, Australia, 4032
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Kippa-Ring, Queensland, Australia, 4021
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Southport, Queensland, Australia, 4215
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Victoria
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Richmond, Victoria, Australia, 3121
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Nova Scotia
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Halifax, Nova Scotia, Canada, B#H2Y
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Ontario
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Kingston, Ontario, Canada, K7L2V7
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Toronto, Ontario, Canada, M5T2S8
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Quebec
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Montreal, Quebec, Canada, H1T2M4
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Montreal, Quebec, Canada, H4A3J1
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Auckland, New Zealand
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Christchurch, New Zealand, 8024
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Hamilton, New Zealand, 3206
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Alabama
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Florence, Alabama, United States, 35630
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Montgomery, Alabama, United States, 36116
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Sheffield, Alabama, United States, 35660
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Arizona
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Gilbert, Arizona, United States, 85295
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Phoenix, Arizona, United States, 85023
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California
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Anaheim, California, United States, 92801
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Bakersfield, California, United States, 93301
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Florida
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Miami, Florida, United States, 33136
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Tamarac, Florida, United States, 33321
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Tampa, Florida, United States, 33605
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Illinois
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Chicago, Illinois, United States, 60612
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Montana
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Great Falls, Montana, United States, 59405
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Ohio
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Cleveland, Ohio, United States, 44111
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Columbus, Ohio, United States, 43210
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Pennsylvania
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Tyrone, Pennsylvania, United States, 16686
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Tennessee
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Hendersonville, Tennessee, United States, 37075
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Texas
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Houston, Texas, United States, 77030
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Houston, Texas, United States, 77004
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San Antonio, Texas, United States, 78229
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Utah
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Salt Lake City, Utah, United States, 84124
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Voluntarily provide written informed consent.
- Male or female between 18 and 80 years of age, inclusive.
- Be planning to undergo major elective surgery, and be expected to require intravenous analgesia and remain in an inpatient setting for at least 24-48 hours and are expected to receive at least two study doses.
Female subjects are eligible only if all the following apply:
- Not pregnant;
- Not breastfeeding;
- Not able to become pregnant;
- Not planning to become pregnant during the study or 28 day follow up;
- Commit to the use of an acceptable form of birth control for the duration of the study.
- Have a body mass index ≤40 kg/m2
- Be able to understand the study procedures, comply with all study procedures, and agree to participate in the study program.
- For oncology cases, have a histologically confirmed diagnosis of a primary solid tumor, affecting any one of the following organs: breast, skin, colon, prostate, uterus, ovaries, urethra, penis, or vulva; AND based on clinical, laboratory, radiologic, pathologic, and surgical findings, the tumor is confined to the primary organ, without evidence of local, regional or distal spread; AND have a performance status such that they are able to carry on normal activities of daily life without limitations.
Exclusion Criteria:
- Have a known allergy to meloxicam or any excipient of N1539, aspirin, other non-steroidal anti-inflammatory drugs (NSAIDs).
- Be scheduled to undergo cranial surgery, open heart procedure, any type of coronary artery bypass graft, organ transplant, or any other surgical procedure in which NSAIDs are contraindicated.
- Planned or actual admission to the intensive care unit at any time during study participation.
- Have clinically significant laboratory abnormalities.
- Have a history of myocardial infarction within the preceding 12 months.
- Have history of HIV, or hepatitis B or C.
- Have a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, respiratory, or other condition that would preclude participation in the study.
- Have active or recent (within 6 months) gastrointestinal ulceration or bleeding
- Have a known bleeding disorder which may be worsened with the administration of a NSAID.
- Have evidence of a clinically significant 12 lead ECG abnormality.
- Have a history of alcohol abuse (regularly drinks > 4 units of alcohol per day; 8 oz. beer, 3 oz. wine, 1 oz. spirits) or a history of prescription/illicit drug abuse within the past 5 years.
- Have positive results on the urine drug screen for cocaine or PCP or alcohol breath test indicative of illicit drug or alcohol abuse.
- Unable to discontinue medications, that have not been at a stable dose for at least 14 days prior to the scheduled surgical procedure, within 5 half-lives of the specific prior medication (or, if half-life is not known, within 48 hours) before dosing with study medication.
- Be unable to discontinue herbal medications at least 7 days prior to surgery through last dose of study medication.
- Be receiving lithium, or a combination of furosemide with either an angiotensin converting enzyme inhibitor or an angiotensin receptor blocker
- Be currently receiving treatment with oral meloxicam (Mobic®) or other NSAID within 7 days prior to surgery.
- Have received any investigational product within 30 days before dosing with study medication.
- Have previously received N1539 in clinical trials, or had major surgery in the last 3 months that would interfere with study assessments.
- Have undergone or be expected to undergo radiation therapy, chemotherapy, or other biological therapy for cancer treatment, within 60 days prior to screening, through the last study visit, approximately 30 days after dosing.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: N1539 30mg
N1539 (Intravenous meloxicam) 30mg every 24 hours for up to 7 doses.
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Other Names:
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Placebo Comparator: IV Placebo
IV Placebo every 24 hours for up to 7 doses.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Subjects With Adverse Events
Time Frame: 28 Days
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Number of subjects reporting 1 or more treatment-emergent adverse events
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28 Days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Postoperative Opioid Use
Time Frame: Up to 7 days
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Postoperative opioid use was measured throughout the inpatient phase and converted to the total IV morphine equivalent dose
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Up to 7 days
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Investigator Satisfaction With Surgical Wound Healing
Time Frame: Up to 7 days after last study dose
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Investigators assessed their satisfaction with the healing of the surgical wound according to an 11-point numeric rating scale (0-10) where a score of 0 was completely unsatisfied (worse outcome), and a score of 10 was completely satisfied (better outcome).
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Up to 7 days after last study dose
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Viscusi ER, Gan TJ, Bergese S, Singla N, Mack RJ, McCallum SW, Du W, Hobson S. Intravenous meloxicam for the treatment of moderate to severe acute pain: a pooled analysis of safety and opioid-reducing effects. Reg Anesth Pain Med. 2019 Mar;44(3):360-368. doi: 10.1136/rapm-2018-100184. Epub 2019 Feb 7.
- Sharpe KP, Berkowitz R, Tyndall WA, Boyer D, McCallum SW, Mack RJ, Du W. Safety, Tolerability, and Effect on Opioid Use of Meloxicam IV Following Orthopedic Surgery. J Pain Res. 2020 Jan 21;13:221-229. doi: 10.2147/JPR.S216219. eCollection 2020.
- Bergese SD, Melson TI, Candiotti KA, Ayad SS, Mack RJ, McCallum SW, Du W, Gomez A, Marcet JE. A Phase 3, Randomized, Placebo-Controlled Evaluation of the Safety of Intravenous Meloxicam Following Major Surgery. Clin Pharmacol Drug Dev. 2019 Nov;8(8):1062-1072. doi: 10.1002/cpdd.666. Epub 2019 Feb 20. Erratum In: Clin Pharmacol Drug Dev. 2020 Aug;9(6):774.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Pain
- Neurologic Manifestations
- Pain, Postoperative
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Cyclooxygenase 2 Inhibitors
- Meloxicam
Other Study ID Numbers
Other Study ID Numbers
- REC-15-017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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